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1790166387
IAN MAESTAS
ESPANOLA, NM
NPI
1790166387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-06-09
Last Update Date
2015-06-09
Business Address
-- IAN MAESTAS
904 E FAIRVIEW LN
ESPANOLA, NM 87532-2822
Phone number: 505-747-1991
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Mailing Address
-- IAN MAESTAS
282 S CAMINO DEL PUEBLO STE C
BERNALILLO, NM 87004-5909
Phone number:
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